NPIMap

Organization Active NPI

Freedomcare of Wa, LLC

  • In Home Supportive Care Agency
  • Spokane Valley, WA
National Provider Identifier
1225369564
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
IHS.FS.60114824 Issued in WA
Legal business name
FREEDOMCARE OF WA, LLC
Practice address
13120 E 14TH Ave
Spokane Valley, WA 99037
Phone
(509) 270-2825
NPI assigned
Jan 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Vivian M. Shammel
Title
General Manager
Phone
50927028255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X IHS.FS.60114824 WA Primary

Addresses

Primary practice location

13120 E 14TH Ave
Spokane Valley, WA 99037

Mailing address

PO Box 1791
Spokane Valley, WA 99037-1791
Phone (509) 270-2825

Other names 1

  • FreedomCare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1225369564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1791",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990371791",
            "telephone_number": "509-270-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13120 E 14TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99037",
            "telephone_number": "509-270-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOMCARE OF WA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "SHAMMEL",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "50927028255",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "IHS.FS.60114824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FreedomCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.